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General NPI Number Information
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NPI Number | 1548057235
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Entity Type | Organization
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Legal Business Name | SPIRAS HEALTH OF MARYLAND
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Dates
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Enumeration Date | 04/24/2025
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Last Update Date | 07/22/2025
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Provider Practice Location Address
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Address Line | 6640 TOWERING OAK PATH
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City | COLUMBIA
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State | MD
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Zip | 21044-6067
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Country | US
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Telephone | 855-638-9596
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Fax |
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Provider Business Mailing Address
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Address Line | 100 WINNERS CIR N STE 100
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City | BRENTWOOD
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State | TN
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Zip | 37027-1004
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF CLINICAL QUALITY
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Name | BETH MONIZ
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Credential |
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Telephone | 574-286-2074
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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